O5-2 Tele-rehabilitation program ‘Funktionstraining-online' in people with Multiple Sclerosis - preliminary results of a first online survey

Abstract Background In 2019, the German Multiple Sclerosis (MS) Society was certified as a provider for ?Funktionstraining? (FT). FT is an exercise training program developed for people with disabilities or people at risk of disability, takes place weekly and is led by a qualified FT-therapist. It is prescribed by a physician (between 12 and 24 months) and is part of outpatient medical rehabilitation. Due to the COVID-19 pandemic, the tele-rehabilitation concept ‘Funktionstraining-online’ (FT-online) was developed for pwMS. This study examines the FT-online from a participants' point of view within an online survey. Methods We developed an online questionnaire that included data of sample characteristics, participants' experiences with FT-online in terms of usability and training content. Further, the survey captured the quality of FT-online and the FT-therapist and compared carefully FT-online with face-to-face training. The standardised questionnaires Self-Efficacy Scale - Short Form (ASKU), the Multiple Sclerosis Questionnaire for Physiotherapists MSQPT and the Fatigue-Questionnaire (WeiMuS) were included. The 103 interviewed people with MS (pwMS) participated in FT-online at least for three months. Results Data analyses are in process. The response rate was 75% (n = 78). The analysed sample is 53.4±8.1 years old with a disease duration of 18±8.7 years (male=7, female=71). Preliminary results in the ASKU certify a low self-efficacy in the sample (2.25 ±0.67). Qualitative results show the advantages for FT-online in the independence of mobility and infrastructure, flexibility, compatibility within job and family, group feeling in times of social distancing and an increase in quality of life. The disadvantages described by the sample are mainly technical problems and lack of socialising. 35% (n = 27) participants experienced both: FT-online and face-to-face. 44.4% (n = 12) of this sample prefer FT-online, 33.3% (n = 9) prefer the face-to-face training course and 22.2% (n = 6) rate both kinds of training equal. Conclusions The implementation of FT-online was an important step to ensure the exercise-related physical activity in pwMS during the COVID-19 pandemic. The descriptive analyses show high potential for FT-online training in pwMS. We are aware of the bias in current data, because of the pandemic situation both the free choice of FT-offers and the pandemic circumstances held influence in study outcomes. First results lead to the conclusion that FT-online may be beneficial for a broad range of persons with neurologic diseases, movement disorders and fatigue episodes and should be considered for future medical rehabilitation.


Issue/problem
Since 2016, French doctors are allowed to prescribe adapted physical activity (APA) to patients with long-term illness (ALD) through the 'sport sur ordonnance' program. Despite the goal of promoting physical activity in ALD patients, health authority recent reports unanimously highlight organisational and funding difficulties. Whereas most of the funding effort is based on national or mutual insurance companies, our intervention proposes to fix the organisational difficulties. We provided an optimized care pathway coordinated by an APA professional and an innovative online platform to ease medical prescription, patients access and follow-up to APA. Problem description Three main problems have been identified: Diagnostic heterogeneity, APA accessibility and Program evaluation. To fix these issues, the proposed intervention firstly included an initial evaluation based on a standardized diagnostic. Secondly, we evaluated APA structures following functional specifications and referenced those succeeding the criteria to ensure an optimized patients' orientation toward an adapted care service. Finally, pre-and post-care bio-psycho-social tests were mandatory. Interviews and evaluation data were stored via questionnaires on our securized platform for further analyses. Results 2200 patients benefited from our program, and 116 yet finished the whole 2-years program. Patients description: 64 yo, 66% women, 35% cancer, 14% diabetes, 11% heart failure and 9% mental illnesses. 96% declared being motivated to maintain their physical activity after the program and reported a 4.8/5 in rating their APA care. Significant pre-post enhancements suggest that our program succeed in promoting and facilitating regular APA practice in ALD patients.

Lessons
The ecosystem built around insurance companies (APA professionals, doctors and patients) provides an appropriate response to the health policy dedicating to promote a regular APA practice for ALD patients. However, the expected efficiency depends on a structured, organized and innovative system. Firstly, evaluating the medicoeconomic impact is necessary to ensure the sustainability of this national policy. Systematically measuring the pre-and post-care intervention should allow reaching this objective. Secondly, we learned that the necessary next steps will rely on time saving and quality increase. We propose automatized detailed and patient specific Abstract citation ID: ckac094.034 O5-2 Tele-rehabilitation program 'Funktionstrainingonline' in people with Multiple Sclerosis -preliminary results of a first online survey Anne-Marie Gemmerich 1 , Woschek Stephanie 2 , Patrick Schubert 1 , Nadine Scholl 2 , Charlotte Klump 2 , Haas Christian 1 1 Institute of complex research, Hochschule Fresenius, University of Applied Science, Idstein, Germany 2 Regional association Hessen, German Multiple Sclerosis Society, Frankfurt am Main, Germany Corresponding author: anne-marie.gemmerich@hs-fresenius.de

Background
In 2019, the German Multiple Sclerosis (MS) Society was certified as a provider for ?Funktionstraining? (FT). FT is an exercise training program developed for people with disabilities or people at risk of disability, takes place weekly and is led by a qualified FT-therapist. It is prescribed by a physician (between 12 and 24 months) and is part of outpatient medical rehabilitation. Due to the COVID-19 pandemic, the telerehabilitation concept 'Funktionstraining-online' (FT-online) was developed for pwMS. This study examines the FT-online from a participants' point of view within an online survey.

Methods
We developed an online questionnaire that included data of sample characteristics, participants' experiences with FT-online in terms of usability and training content. Further, the survey captured the quality of FT-online and the FT-therapist and compared carefully FT-online with face-to-face training. The standardised questionnaires Self-Efficacy Scale -Short Form (ASKU), the Multiple Sclerosis Questionnaire for Physiotherapists MSQPT and the Fatigue-Questionnaire (WeiMuS) were included. The 103 interviewed people with MS (pwMS) participated in FT-online at least for three months.

Results
Data analyses are in process. The response rate was 75% (n = 78). The analysed sample is 53.4AE8.1 years old with a disease duration of 18AE8.7 years (male=7, female=71). Preliminary results in the ASKU certify a low self-efficacy in the sample (2.25 AE0.67). Qualitative results show the advantages for FT-online in the independence of mobility and infrastructure, flexibility, compatibility within job and family, group feeling in times of social distancing and an increase in quality of life. The disadvantages described by the sample are mainly technical problems and lack of socialising. 35% (n = 27) participants experienced both: FT-online and face-to-face. 44.4% (n = 12) of this sample prefer FT-online, 33.3% (n = 9) prefer the face-to-face training course and 22.2% (n = 6) rate both kinds of training equal.

Conclusions
The implementation of FT-online was an important step to ensure the exercise-related physical activity in pwMS during the COVID-19 pandemic. The descriptive analyses show high potential for FT-online training in pwMS. We are aware of the bias in current data, because of the pandemic situation both the free choice of FT-offers and the pandemic circumstances held influence in study outcomes. First results lead to the conclusion that FT-online may be beneficial for a broad range of persons with neurologic diseases, movement disorders and fatigue episodes and should be considered for future medical rehabilitation.

Background
It has been suggested that risk behaviours including diet, physical activity (PA), sedentary behaviour (SB), smoking and alcohol consumption cluster among adolescents. Our objective was to investigate clustering of risk behaviours in overweight and obese adolescents from the French PRALIMAP-InèS trial and to identify their socioeconomic correlates.
ii44 European Journal of Public Health, Volume 32 Supplement 2, 2022